Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $75,857.76	Facility		$1,778.28	$2,187.76	$75,857.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,238.72	Professional		$831.76	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $20,417.38	Facility		$1,174.90	$1,513.56	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,819.70	Facility		$1,348.96	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,137.96	Facility		$954.99	$1,230.27	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95